Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(04): 307-309
DOI: 10.1055/s-0036-1593836
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Long-Term Outcome of Dentatotomy in a Dystonic Patient

Avaliação a longo prazo de paciente distônico submetido a dentatotomia
Manoel Jacobsen Teixeira
1   Pain Center, Department of Neurology, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil
2   Neurosurgery Division, Department of Neurology, School of Medicine, Universidade de São Paulo, SP, Brazil
,
Carina C. França
3   Movement Disorders Center, Department of Neurology, Faculade de Medicina, Universidade de São Paulo, SP, Brazil
,
Daniel Ciampi de Andrade
1   Pain Center, Department of Neurology, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil
4   Pain Center, Instituto do Câncer do Estado de São Paulo, SP, Brazil
,
Luis Augusto Carvalho Rogano
2   Neurosurgery Division, Department of Neurology, School of Medicine, Universidade de São Paulo, SP, Brazil
,
Guilherme Lepski
2   Neurosurgery Division, Department of Neurology, School of Medicine, Universidade de São Paulo, SP, Brazil
,
Erich Talamoni Fonoff
2   Neurosurgery Division, Department of Neurology, School of Medicine, Universidade de São Paulo, SP, Brazil
,
Rubens Gisbert Cury
3   Movement Disorders Center, Department of Neurology, Faculade de Medicina, Universidade de São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

17 May 2016

22 September 2016

Publication Date:
25 October 2016 (online)

Abstract

Dystonia is characterized by sustained or intermittent muscle contractions leading to abnormal movements and impairment in daily activities. Stereotactic dentatotomy has been a treatment option in cases of spasticity or dystonia, especially in patients with cerebral palsy, but the long-term effect of dentatotomy in dystonia is still unknown. Here we describe a dystonic patient who underwent dentatotomy for symptomatic treatment of refractory dystonia and whose 20-year follow-up showed improvement in symptoms.

Resumo

A distonia é caracterizada por contrações musculares intermitentes ou sustentadas que levam a movimentos anormais e ao comprometimento das atividades cotidianas. A dentatotomia estereotáxica tem sido uma opção de tratamento nos casos de espasticidade ou distonia, especialmente em pacientes com paralisia cerebral, mas o efeito a longo prazo da dentatotomia na distonia ainda é desconhecido. Descrevemos aqui um paciente submetido a dentatotomia para tratamento sintomático de distonia refratária e cujo acompanhamento por 20 anos demonstrou melhora nos sintomas.

 
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